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Information. 2017 Submission Identification Number (SID) Taxpayer's name ANASTASIYA SIROOCHENKO Social security number ***4**4. Spouses name Spouse's social secure num er . . liPart rl Tax Return Information - Tax Year Ending December 31, 2017 (Whole dollars only) 1 Adjusted gross income (F
m IT-201, line 68) 7a Total amount of any check(s) received from the Tax Department for any school or property tax credits (see instructions) 8 NY City school tax credit (from Form ir.2or. Woe 69 end filo. or Form 17-203.11nOS 60 Ond 6041) 9 NY City earned income credit (from Form IT-201, line 70)
l or property tax credits (see instructions) 8 NY City school tax credit (from Form ir.2or. Woe 69 end filo. or Form 17-203.11nOS 60 Ond 6041) 9 NY City earned income credit (from Form IT-201, line 70) 9a NY City enhanced real property tax credit (from Form IT-201, fine 70a) 10 Other refundable cre
y Tax Credit, or Ny0210, Claim for New York City School Tax Credit. For returns filed jointly, both spouses must complete and sign Form TR-5791T. Spouse's name: (Jointly filed return only) 588351 11.2545 EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms
credit (from Form IT-201, line 68) 7a Property tax freeze credit (see Instructions) 7b Family tax relief credit (from Form IT-201, AS 62a) 8 NY City school tax credit (from Form IT-201, line 69, or Form IT-203, line 60) 9 NY City earned income credit (from Form IT-201, fine 70) 9a NY City enh
ns) 7b Family tax relief credit (from Form IT-201, AS 62a) 8 NY City school tax credit (from Form IT-201, line 69, or Form IT-203, line 60) 9 NY City earned income credit (from Form IT-201, fine 70) 9a NY City enhanced real property tax credit (from Form IT-201, line 7th) 10 Other refundable cre
gning this Tax Return and Electronic Funds Withdrawal Consent, it applicable, by entering my Self-Select PIN below. Taxpayer's PIN: Date 09122018 Spouse's PIN: 719986 044)I.17 EFTA00792091 Form 114a Department of the Treasury Financial Crimes Enforcement Network (FinCEN) May 2015 Record of Au
school or property tax credits (see instructions) 8 NY City school tax credit &Cm Form ir.2or. Inn 69 and ea. or Form m-203. HMO 50 Odd 604.1 9 NY City earned income credit (from Form IT-201, fine 70) 9a NY City enhanced real property tax credit (from Form IT-201, line 70a) 10 Other refundable cre
ormation. 2017 Submission Identification Number (SID) Taxpayer's name ANASTASIYA SIROOCHENKO Spouses name Social security number ***4 "4-9816 Spouse's social security number IPartI Tax Return Information - Tax Year Ending December 31,2017 (whole dollars only) 1 Adjusted gross income (Form 1040,
school or property tax credits (see instructions) 8 NY City school tax credit Iron Form ir-201. Win 69 and 69e. or Form rr•ses. wire 50 and We) 9 NY City earned income credit (from Form IT-201, fine 70) 9a NY City enhanced real property tax credit (from Form IT-201, fine 70a) 10 Other refundable cre
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